Optimisation of hyperemesis gravidarum management through an emergency department setting

Autor: Graham Skalley, John Denny, Eve Allen, Shwetha Rao
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: BMJ Open Quality, Vol 7, Iss 3 (2018)
Druh dokumentu: article
ISSN: 2399-6641
DOI: 10.1136/bmjoq-2018-000330
Popis: Hyperemesis gravidarum is a common condition characterised by severe nausea and vomiting. The referral process from the emergency department (ED) to obstetrics and gynaecology (O&G) can lead to treatment delays before the gynaecology team review the patient, resulting in unnecessary prolonged inpatient stays in O&G. This quality improvement project created a clinical pathway which optimised care of patients presenting with hyperemesis gravidarum in the ED at the Princess Royal University Hospital using a treatment protocol. Two audits were carried out to assess improvements in patient care and reduction in admissions to O&G. Overall, admissions to O&G were reduced by 68.7% (cycle 1) and 70.5% (cycle 2) compared with admission rates before the proforma, saving the trust an estimated £265 700 and 235 bed days over a year.
Databáze: Directory of Open Access Journals